Organization
BIG Y FOODS, INC.
Active
Other names
Big Y Pharmacy #59
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S GOLD (VP, ASSISTANT SECRETARY)
(413) 504-4492
Entity
Organization
Contact information
Practice address
504 WINSTED RD, TORRINGTON, CT 06790
(860) 489-2970
(860) 489-0246
Mailing address
504 WINSTED RD, TORRINGTON, CT 06790
(860) 489-2970
(860) 489-0246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PCY.2109
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY.2109
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCY.2109
PHARMACY LICENSE #
CT
Enumeration date
04/18/2008
Last updated
12/15/2015
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